PHAM AND SAMBANGI DENTAL CORPORATION (NPI# 1114364395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114364395 |
| Entity Type | Organization |
| Organization Name | PHAM AND SAMBANGI DENTAL CORPORATION |
| Other Organization Name | FULLERTON DENTAL GROUP |
| Practice Address |
1573 S Harbor Blvd Fullerton CA 92832-3402 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 7144410131 |
| Practice Fax Number | 7144410141 |
| Mailing Telephone | 7148458890 |
| Mailing Fax Number | 7148458803 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| Authorized Official Name | DR. PETER H PHAM (OWNER) |
| Authorized Official Telephone | 7144410131 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Fullerton Dental Group | Doing Business As Name - Organization |
| Street Address |
1573 S HARBOR BLVD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689215998 | Younjin Lee | Dentist | 2513 Tiffany Pl, Fullerton, CA 92833-1527 | 2019-10-08 |
| 1407400047 | Baher Bassili | Dentist | 137 W Chapman Ave, Fullerton, CA 92832-1473 | 2019-08-01 |
| 1144791377 | Romi Rajul Patel | Dentist | 2613 Geneva Pl, Fullerton, CA 92833-2023 | 2018-12-16 |
| 1225539687 | Michael Han Dental Corp. | Dentist | 1460 N Harbor Blvd Ste 120, Fullerton, CA 92835-4158 | 2018-02-21 |
| 1063864114 | Aaron Au | Dentist | 301 W Bastanchury Rd Ste 20, Fullerton, CA 92835-3422 | 2016-07-12 |
| 1669866687 | Byun and Patel, A Dental Corporation | Dentist | 1105 S Euclid St, Suite E, Fullerton, CA 92832-2850 | 2015-03-27 |
| 1366858391 | Ryoo Dental, Inc | Dentist | 2240 N Harbor Blvd Ste 110, Fullerton, CA 92835-2636 | 2014-07-10 |
| 1053753350 | Brian Tadang | Dentist | 385 E Commonwealth Ave, Fullerton, CA 92832-2016 | 2013-07-27 |
| 1720427511 | John Marius Bodnar | Dentist | 2607 Taft Court, Fullerton, CA 92835 | 2013-06-14 |
| 1457603946 | Johnny Kim Dds Inc | Dentist | 1010 E. Chapman Ave, Fullerton, CA 92831-3812 | 2012-10-08 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.